Organization
THOMAS PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINN THOMAS PSY.D (OWNER)
(248) 217-5769
Entity
Organization
Contact information
Practice address
27375 BLOOMFIELD DR, LATHRUP VILLAGE, MI 48076-3341
(248) 217-5769
Mailing address
27375 BLOOMFIELD DR, LATHRUP VILLAGE, MI 48076-3341
(248) 217-5769
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012754
MI
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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